Clinical observation of different targeted temperature management methods in patients with cardiac arrest
To explore the clinical value of extracorporeal cardiopulmonary resuscitation (ECPR) combined with different targeted temperature management (TTM) for the treatment of cardiac arrest. From January 2018 to September 2020, ECPR was initiated in patients with cardiac arrest who did not have their spont...
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| Veröffentlicht in: | American journal of translational research 2022-01, Vol.14 (4), p.2436-2442 |
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| creator | Huang, Hongjuan Wang, Yao Wang, Rong Cai, Jinxia Wang, Wei Zhang, Xuan Zhang, Zhongman Chen, Xufeng Zhang, Jinsong Zhang, Gang Gao, Yongxia |
| description | To explore the clinical value of extracorporeal cardiopulmonary resuscitation (ECPR) combined with different targeted temperature management (TTM) for the treatment of cardiac arrest.
From January 2018 to September 2020, ECPR was initiated in patients with cardiac arrest who did not have their spontaneous circulation restored after 20 minutes of traditional cardiopulmonary resuscitation (CPR). A total of 22 patients (observation group) given TTM were treated with Hico-variotherm 550 (HU 550) and 30 patients (control group) not given TTM were treated with a medical water circulation cooling blanket. The Glasgow Coma scale (GCS) score, serum neuron-specific enolase (NSE), survival rate and neurological prognosis after ECMO weaning were compared between the two groups.
There was no significant difference between the two groups in GCS score on the third and seventh days after resuscitation and serum NSE on the first and third day after treatment (P>0.05). Compared with the control group, the survival rate (40.91% vs 33.33%) and favorable neurological outcome (36.36% vs 26.67%) of patients in the observation group were slightly higher, but the differences were not statistically significant (all P>0.05). The incidence of shivering and body temperature fluctuation during rewarming in the observation group was lower than that in the control group (P |
| format | Article |
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From January 2018 to September 2020, ECPR was initiated in patients with cardiac arrest who did not have their spontaneous circulation restored after 20 minutes of traditional cardiopulmonary resuscitation (CPR). A total of 22 patients (observation group) given TTM were treated with Hico-variotherm 550 (HU 550) and 30 patients (control group) not given TTM were treated with a medical water circulation cooling blanket. The Glasgow Coma scale (GCS) score, serum neuron-specific enolase (NSE), survival rate and neurological prognosis after ECMO weaning were compared between the two groups.
There was no significant difference between the two groups in GCS score on the third and seventh days after resuscitation and serum NSE on the first and third day after treatment (P>0.05). Compared with the control group, the survival rate (40.91% vs 33.33%) and favorable neurological outcome (36.36% vs 26.67%) of patients in the observation group were slightly higher, but the differences were not statistically significant (all P>0.05). The incidence of shivering and body temperature fluctuation during rewarming in the observation group was lower than that in the control group (P<0.05).
HU550 poikilothermia water cabinet combined with ECMO can better control the targeted temperature of patients in a more accurate range and improve the survival rate; however, it exerts no statistical improvement in the incidence of complications.</description><identifier>ISSN: 1943-8141</identifier><identifier>EISSN: 1943-8141</identifier><identifier>PMID: 35559368</identifier><language>eng</language><publisher>United States: e-Century Publishing Corporation</publisher><subject>Original</subject><ispartof>American journal of translational research, 2022-01, Vol.14 (4), p.2436-2442</ispartof><rights>AJTR Copyright © 2022.</rights><rights>AJTR Copyright © 2022 2022</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9091101/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9091101/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35559368$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Huang, Hongjuan</creatorcontrib><creatorcontrib>Wang, Yao</creatorcontrib><creatorcontrib>Wang, Rong</creatorcontrib><creatorcontrib>Cai, Jinxia</creatorcontrib><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Zhang, Xuan</creatorcontrib><creatorcontrib>Zhang, Zhongman</creatorcontrib><creatorcontrib>Chen, Xufeng</creatorcontrib><creatorcontrib>Zhang, Jinsong</creatorcontrib><creatorcontrib>Zhang, Gang</creatorcontrib><creatorcontrib>Gao, Yongxia</creatorcontrib><title>Clinical observation of different targeted temperature management methods in patients with cardiac arrest</title><title>American journal of translational research</title><addtitle>Am J Transl Res</addtitle><description>To explore the clinical value of extracorporeal cardiopulmonary resuscitation (ECPR) combined with different targeted temperature management (TTM) for the treatment of cardiac arrest.
From January 2018 to September 2020, ECPR was initiated in patients with cardiac arrest who did not have their spontaneous circulation restored after 20 minutes of traditional cardiopulmonary resuscitation (CPR). A total of 22 patients (observation group) given TTM were treated with Hico-variotherm 550 (HU 550) and 30 patients (control group) not given TTM were treated with a medical water circulation cooling blanket. The Glasgow Coma scale (GCS) score, serum neuron-specific enolase (NSE), survival rate and neurological prognosis after ECMO weaning were compared between the two groups.
There was no significant difference between the two groups in GCS score on the third and seventh days after resuscitation and serum NSE on the first and third day after treatment (P>0.05). Compared with the control group, the survival rate (40.91% vs 33.33%) and favorable neurological outcome (36.36% vs 26.67%) of patients in the observation group were slightly higher, but the differences were not statistically significant (all P>0.05). The incidence of shivering and body temperature fluctuation during rewarming in the observation group was lower than that in the control group (P<0.05).
HU550 poikilothermia water cabinet combined with ECMO can better control the targeted temperature of patients in a more accurate range and improve the survival rate; however, it exerts no statistical improvement in the incidence of complications.</description><subject>Original</subject><issn>1943-8141</issn><issn>1943-8141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNpVkEFPwzAMhSsEYmPwF1COXCq1SeOlFyQ0AUOaxAXOlZu4W1DblCQd4t9TxEDjZMvP_t6TT5J5XhYiVXmRnx71s-QihLcsA1kCP09mQkpZClDzxK5a21uNLXN1IL_HaF3PXMOMbRry1EcW0W8pkmGRuoE8xtET67DHLXXfekdx50xgtmfDdD6NAvuwccc0emNRM_SeQrxMzhpsA10d6iJ5fbh_Wa3TzfPj0-pukw55CTEtCJaGAxUcBYIynBB1oYC00MCpUE2jiQQsawQEKXktEVEqQ2i0AhCL5PaHO4x1R0ZPeTy21eBth_6zcmir_0pvd9XW7asyK_M8yyfAzQHg3fs4Ja86GzS1LfbkxlBxgEJlQvHltHp97PVn8vtf8QXLiXzf</recordid><startdate>20220101</startdate><enddate>20220101</enddate><creator>Huang, Hongjuan</creator><creator>Wang, Yao</creator><creator>Wang, Rong</creator><creator>Cai, Jinxia</creator><creator>Wang, Wei</creator><creator>Zhang, Xuan</creator><creator>Zhang, Zhongman</creator><creator>Chen, Xufeng</creator><creator>Zhang, Jinsong</creator><creator>Zhang, Gang</creator><creator>Gao, Yongxia</creator><general>e-Century Publishing Corporation</general><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220101</creationdate><title>Clinical observation of different targeted temperature management methods in patients with cardiac arrest</title><author>Huang, Hongjuan ; Wang, Yao ; Wang, Rong ; Cai, Jinxia ; Wang, Wei ; Zhang, Xuan ; Zhang, Zhongman ; Chen, Xufeng ; Zhang, Jinsong ; Zhang, Gang ; Gao, Yongxia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p196t-4e67d26e42a3a68d2eaac486ec3c62e48ffcee367ba6a6552b5aaa58deadc8663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Original</topic><toplevel>online_resources</toplevel><creatorcontrib>Huang, Hongjuan</creatorcontrib><creatorcontrib>Wang, Yao</creatorcontrib><creatorcontrib>Wang, Rong</creatorcontrib><creatorcontrib>Cai, Jinxia</creatorcontrib><creatorcontrib>Wang, Wei</creatorcontrib><creatorcontrib>Zhang, Xuan</creatorcontrib><creatorcontrib>Zhang, Zhongman</creatorcontrib><creatorcontrib>Chen, Xufeng</creatorcontrib><creatorcontrib>Zhang, Jinsong</creatorcontrib><creatorcontrib>Zhang, Gang</creatorcontrib><creatorcontrib>Gao, Yongxia</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of translational research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Huang, Hongjuan</au><au>Wang, Yao</au><au>Wang, Rong</au><au>Cai, Jinxia</au><au>Wang, Wei</au><au>Zhang, Xuan</au><au>Zhang, Zhongman</au><au>Chen, Xufeng</au><au>Zhang, Jinsong</au><au>Zhang, Gang</au><au>Gao, Yongxia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical observation of different targeted temperature management methods in patients with cardiac arrest</atitle><jtitle>American journal of translational research</jtitle><addtitle>Am J Transl Res</addtitle><date>2022-01-01</date><risdate>2022</risdate><volume>14</volume><issue>4</issue><spage>2436</spage><epage>2442</epage><pages>2436-2442</pages><issn>1943-8141</issn><eissn>1943-8141</eissn><abstract>To explore the clinical value of extracorporeal cardiopulmonary resuscitation (ECPR) combined with different targeted temperature management (TTM) for the treatment of cardiac arrest.
From January 2018 to September 2020, ECPR was initiated in patients with cardiac arrest who did not have their spontaneous circulation restored after 20 minutes of traditional cardiopulmonary resuscitation (CPR). A total of 22 patients (observation group) given TTM were treated with Hico-variotherm 550 (HU 550) and 30 patients (control group) not given TTM were treated with a medical water circulation cooling blanket. The Glasgow Coma scale (GCS) score, serum neuron-specific enolase (NSE), survival rate and neurological prognosis after ECMO weaning were compared between the two groups.
There was no significant difference between the two groups in GCS score on the third and seventh days after resuscitation and serum NSE on the first and third day after treatment (P>0.05). Compared with the control group, the survival rate (40.91% vs 33.33%) and favorable neurological outcome (36.36% vs 26.67%) of patients in the observation group were slightly higher, but the differences were not statistically significant (all P>0.05). The incidence of shivering and body temperature fluctuation during rewarming in the observation group was lower than that in the control group (P<0.05).
HU550 poikilothermia water cabinet combined with ECMO can better control the targeted temperature of patients in a more accurate range and improve the survival rate; however, it exerts no statistical improvement in the incidence of complications.</abstract><cop>United States</cop><pub>e-Century Publishing Corporation</pub><pmid>35559368</pmid><tpages>7</tpages></addata></record> |
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| title | Clinical observation of different targeted temperature management methods in patients with cardiac arrest |
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